Healthcare Claims Auditor - Regulatory Compliance
Nahse
Cedars-Sinai Medical Network in Los Angeles seeks a Claims Auditor to ensure accuracy of claims processing per department policies and regulatory requirements. The role focuses on auditing, error identification and timely resolutions. The position emphasizes adherence to CMS/DMHC regulations, detailed documentation, and collaboration with Claims Operations for process improvements and corrective actions. #J-18808-Ljbffr Nahse
- ...scheduling, complaints, communication), and compliance (OSHA, HIPAA) to ensure smooth practice... ...: Managing billing, insurance claims, collections, payroll, budgeting, and financial... ...records, ordering supplies, updating software, ensuring regulatory compliance....Claims
$96.12k - $129.53k
...COMPLIANCE AUDITOR Print ( Apply COMPLIANCE AUDITOR Salary $96,119.04 - $129,531.36 Annually Location Los Angeles County... ...take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an...ClaimsFull timeWork experience placementSecond jobImmediate start$33 - $54.2 per hour
...Coding Compliance Auditor In accordance with current federal coding compliance regulations... ...Athena IDX in a manner to assure clean claims release for billing in a timely manner... ..., medical staff, co-workers and other healthcare personnel. Ability to communicate effectively...ClaimsHourly payFull timeContract workWork at office$38k - $63k
...follow-up for government and non-government claims. Must work with other departments to... ...informed of patterns regarding billing edits, compliance issues, payments and or other issues... ...working within the following sectors: healthcare, insurance, business, finance or customer...ClaimsTemporary workImmediate startFlexible hours- ...customer provides inventory services to the healthcare delivery industry. They audit... ...supply chain and pharmacy operations team. Compliance with our customers' requirements is essential... ...protective gear when required. The auditor will physically count and document all related...Suggested
- ...Job Title Claims Auditor Job Description Are you ready to bring your... ...Southern California by Integrated Healthcare Associates (IHA). Why work... ...Conducts detailed audits for compliance with State, Federal and Health Plan regulatory requirements Conducts pre and...ClaimsRemote jobWork experience placement
- ...INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing... ...health. Contribution Profile The Claims Department is a dynamic department... ...keeping abreast of various contractual, regulatory, compliance, and quality standards as related to claims...Claims
$20 - $28 per hour
...success of our clients’ personal injury claims. The ideal candidate is experienced in handling... ...records from hospitals, clinics, and healthcare providers Track and follow up on... ...medical records are on file Maintain strict compliance with HIPAA and firm confidentiality policies...ClaimsHourly payFull timeWork at officeImmediate startRelocationMonday to FridayShift workAfternoon shiftEarly shift- MedPOINT Management is seeking a Claims Processor to join their team in Sherman Oaks, CA. The role offers the opportunity to work in a fast-paced environment while ensuring accurate processing of insurance claims. Applicants should have at least 2 years of experience in...ClaimsRemote job
- ...I be doing in this role? The Coding Auditor works under the general direction of the... ...data collection points. Auditors evaluate compliance with all coding guidelines including but... ...hire. Facility outpatient surgical claims experience highly preferred. Why work...ClaimsLocal areaRemote work
- ...Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS... ...district legal staff by conducting medical claims data analysis, forensic investigations,... ...related party transactions. Analyze healthcare claims and other data. Create financial...ClaimsFull timeFlexible hours
- ...Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners. Responsibilities include, but not... ...related experience Must have at least 5 years of applicable healthcare claims adjudication experience within a managed care industry...Claims
- ...professional seeking an exciting opportunity in healthcare? West Coast Ambulance is looking for a... ...processing and managing medical billing claims, ensuring timely reimbursements, and... ...Maintain billing records and compliance with regulations Assist in Order Intake...ClaimsFull time
- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial Job Overview CGS is seeking a highly skilled Auditor to provide... ...volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, and other documentary...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
- ...business management firm seeks a Staff Auditor to join their dynamic team. This is an excellent... ...an audit lead in performing royalty compliance procedures of record labels and... ...data, assessing contracts for potential claims and the preparation of a report of findings...ClaimsFlexible hours
$72.75k - $93.36k
SupportFinity™ is seeking a Claims Analyst to conduct comprehensive reviews of healthcare claims. The analyst will work closely with various departments to ensure compliance with billing guidelines and process improvement efforts. Essential qualifications include knowledge...Claims- ...Specialist in Los Angeles. This role ensures accurate billing for services, prepares and submits claims, and resolves payment issues while maintaining compliance with healthcare regulations. Candidates should have a high school diploma, over 3 years of medical billing...Claims
- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general... ...volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
$60k - $100k
...Nursing * AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American... ...systems to inform/increase staff compliance with regulatory and accreditation standards; and/or... ...post service prepayment facility claims for contract compliance, industry billing...ClaimsHourly payDaily paidContract workShift workNight shiftWeekend work- ...Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where... ...accuracy and efficiency. Ensure compliance with company policies and regulatory requirements. Communicate with... ...MedPOINT Management has been a leader in healthcare management for over a decade,...ClaimsWork at officeRemote work
- ...Jonus Group is seeking an experienced Workers' Compensation Claims Auditor for a fully remote position. Ideal candidates will have a strong... .... This role involves conducting audits of claims to ensure compliance with laws and organizational standards. Responsibilities include...ClaimsRemote job
$45.39k - $92.68k
...Healthcare Billing Specialist Review and analyze healthcare claims data to ensure accurate capture of charges. Review and process medical records to ensure accuracy... ...to resolve charge capture issues. Ensure compliance with all relevant regulations and standards...ClaimsFull timeMonday to FridayDay shift$31.51 - $62.64 per hour
University of California - Los Angeles Health is seeking a Claims Quality Auditor to take on a vital role in a leading health organization. The... ...will perform daily audits on claims, ensuring accuracy, compliance, and adherence to policies. Candidates must have a high school...ClaimsHourly pay$63 - $120 per hour
...S. Powered by a passionate team of mental health advocates and healthcare veterans, Grow is looking for providers who want to build or expand... ...community. We handle credentialing, billing, and insurance claims so providers can enjoy the freedom of choosing when, where, and...ClaimsContract workPrivate practiceRemote work$121.06k
...architecture and governance standards, while maintaining compliance with healthcare payer and regulatory requirements, and collaborating with key stakeholders... ..., Provider Network and Data Operations, or Finance, Claims, Human Resources, and Compliance Operations, and...Claims- ...high accuracy standards, and ensure compliance with all applicable healthcare regulations and payer requirements.... ...regulations. Submit insurance claims accurately and in a timely manner.... ...coding updates, payer policies, and regulatory changes affecting billing and reimbursement...ClaimsWork at office
- ...Collaborate with trial attorneys and Claims Specialists on defense strategy, case preparation... ...Department hotline inquiries, ensure compliance with Defense Attorney Guidelines, and... ...specialize in IT, engineering, finance, healthcare, and professional services recruitment,...ClaimsPermanent employmentContract work
$72.8k - $93.6k
...Full-Time About Us Tarlani Healthcare is a licensed Home Health Agency... ...with strong leadership, compliance, and a people-first culture.... ...labor laws and home health regulatory requirements. Key Responsibilities... ..., and workers’ compensation claims Oversee timekeeping, payroll...ClaimsFull timeLocal area- ...Ensures the integrity and accuracy of claims processes and protocols. Collects... ...investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. Applies functional... ...training and support to other auditors/investigators, contributing to the continuous...ClaimsWork experience placement
$25 - $35 per hour
...role, you will play a critical part in managing health insurance claims and medical billing processes for personal injury cases. Your... ...environment. Collaborative mindset to work with attorneys, healthcare providers, and other team members. Compensation ~$25 to $3...ClaimsHourly payWork at officeFlexible hours
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